Annicia Patrice Pettus, MS, RD, LD

NPI #1073301495 in Benton, Arkansas

Provider Information

NPI Number
1073301495
Entity Type
Individual
Name
Annicia Patrice Pettus, MS, RD, LD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dietitian, Registered
Credential
MS, RD, LD
Enumeration Date
Apr 26, 2025
Last Updated
Apr 26, 2025

Practice Location

Address
3011 SUE ST
City
Benton
ZIP Code
72015-2747
Phone
(501) 454-2125

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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